Turkish archives of pediatrics最新文献_第4页

Trends in Causative Organisms and Antimicrobial Resistance in Late-onset Neonatal Sepsis. 晚期新生儿败血症的致病菌和抗菌药耐药性趋势。

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-06-17 DOI: 10.5152/TurkArchPediatr.2024.24006

Ayberk Özkavaklı, Ebru Yalın İmamoğlu, Neslihan Önder, Serhat İmamoğlu, Hüsnü Fahri Ovalı

{"title":"Trends in Causative Organisms and Antimicrobial Resistance in Late-onset Neonatal Sepsis.","authors":"Ayberk Özkavaklı, Ebru Yalın İmamoğlu, Neslihan Önder, Serhat İmamoğlu, Hüsnü Fahri Ovalı","doi":"10.5152/TurkArchPediatr.2024.24006","DOIUrl":"10.5152/TurkArchPediatr.2024.24006","url":null,"abstract":"The aim of this study was to evaluate the antibiotic resistance of microorganisms isolated in cases of culture-positive nosocomial late-onset neonatal sepsis in the neonatal intensive care unit. Infants admitted to our neonatal intensive care unit between October 2015 and June 2022 were retrospectively screened. A total of 458 different cultures from 386 sepsis incidents in 250 infants were analyzed. Over an 8-year period, 407 cases of culture-positive nosocomial late-onset neonatal sepsis were reviewed in a total of 4244 infants. Twenty-one cases were excluded due to insufficient data. The incidence of culture-positive nosocomial sepsis was 6.3%. Coagulase-negative Staphylococcus and Staphylococcus aureus were the most common gram-positive bacteria found in cultures. Resistance to ampicillin and cephalosporin treatments was high, while resistance to vancomycin, teicoplanin, and linezolid was low. Klebsiella spp. were the most frequent gram-negative bacteria isolated in cultures and showed high resistance to non-carbapenembased regimens. The only fungal microorganisms isolated in cultures were Candida spp., which had a high mortality rate despite their low resistance profile. The mortality rate due to nosocomial sepsis was 19.6%. Our study demonstrated that microorganisms and their antibiotic resistance profiles changed over time in the newborn intensive care unit. Gram-negative pathogens exhibited high antibiotic resistance, while fungi had high mortality rates. It is essential to adjust empirical antibiotic regimens for nosocomial sepsis based on thorough surveillance.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11332492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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RE: Comment On: Change in the Frequency of Diabetic Ketoacidosis in Children with Newly Diagnosed Type 1 Diabetes in the Central Anatolia Region of Türkiye Over the Years Before and After the Coronavirus Disease 2019 Pandemic. RE：评论：2019 年冠状病毒疾病大流行前后几年土耳其中部安纳托利亚地区新诊断为 1 型糖尿病的儿童中糖尿病酮症酸中毒发生率的变化。

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-05-06 DOI: 10.5152/TurkArchPediatr.2024.246202

Serkan Bilge Koca, Mehmet Zahit Takcı, Recep Deniz, Serhan Özcan, Mehmet Çeleğen, Adem Dursun

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Colorful Perspectives: Bridging the Gap Between Marketing Influences and Pediatric Medication Adherence 多彩视角：缩小营销影响与儿科用药依从性之间的差距

Turkish archives of pediatrics Pub Date : 2024-05-06 DOI: 10.5152/turkarchpediatr.2024.24027

Rayyan Vaid, Areeba Fareed

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Comment On: Change in the Frequency of Diabetic Ketoacidosis in Children with Newly Diagnosed Type 1 Diabetes in the Central Anatolia Region of Türkiye Over the Years Before and After the Coronavirus Disease 2019 Pandemic: A Single-Center Experience 评论：2019 年冠状病毒疾病大流行前后几年土耳其中部安纳托利亚地区新诊断为 1 型糖尿病的儿童中糖尿病酮症酸中毒发生率的变化：单中心经验

Turkish archives of pediatrics Pub Date : 2024-05-06 DOI: 10.5152/turkarchpediatr.2024.24062

M. Al-Mendalawi

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Sclerotherapy of a Symptomatic Renal Cyst. 无症状肾囊肿的硬化疗法

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-05-02 DOI: 10.5152/TurkArchPediatr.2024.24033

Tuğçe Merve Orbay, Hamza Özer, Serdar Moralıoğlu

引用次数: 0

Thirdhand Smoke Exposure Ignored by Pediatricians: A Cross-sectional Study. 儿科医生忽视的三手烟暴露：一项横断面研究

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-05-02 DOI: 10.5152/TurkArchPediatr.2024.23277

Gizem Özcan, Emine Kaygı Tartıcı, Binnaz Çelik

{"title":"Thirdhand Smoke Exposure Ignored by Pediatricians: A Cross-sectional Study.","authors":"Gizem Özcan, Emine Kaygı Tartıcı, Binnaz Çelik","doi":"10.5152/TurkArchPediatr.2024.23277","DOIUrl":"10.5152/TurkArchPediatr.2024.23277","url":null,"abstract":"Thirdhand smoke (THS) is defined as the harmful substances in cigarette smoke that are absorbed into objects, people, and surfaces after smoking. This study aimed to determine the level of awareness of pediatricians working in a tertiary healthcare institution about THS exposure. In this cross-sectional study, participants were asked to fill out an information form in which we questioned the participant's age, sex, occupation in the institution, the exposure of pediatric patients to cigarette smoke during daily healthcare, tobacco product use status, smoking status in their home and car, behavior in case of smoking in closed areas where smoking is prohibited, and whether they knew the term of THS. Also, the Turkish version of The Beliefs About Third-Hand Smoke was used. Eighty-one participants, with a mean age of 34.2 ± 7.6 years, were included in the study. Fifty-six (69.1%) participants said they had never used tobacco products. Participants who had never used tobacco products (P = .005), never allowed smoking in their homes (P = .017) and cars (P = .001), had heard the definition of THS before (P = .013), and thought they knew it (P = .005) had higher total scale scores. There was no significant difference between the THS awareness levels of pediatricians who questioned children's exposure to cigarette smoke in their daily practice and those who did not (P = .491). Determining the awareness levels of pediatricians about THS will be an important step in preventing THS exposure in children.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can Complete Blood Count Parameters and Serum Electrolyte Levels Have a Predictive Role in Differential Diagnosis of Tuberculosis from Community-acquired Pneumonia in Children? 全血细胞计数参数和血清电解质水平能否在儿童结核病与社区获得性肺炎的鉴别诊断中发挥预测作用？

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-05-02 DOI: 10.5152/TurkArchPediatr.2024.24015

Deniz Aygün, Pınar Önal, Ayşe Ayzıt Kılınç, Fatih Aygün, Rengin Şiraneci, Haluk Çokuğraş

{"title":"Can Complete Blood Count Parameters and Serum Electrolyte Levels Have a Predictive Role in Differential Diagnosis of Tuberculosis from Community-acquired Pneumonia in Children?","authors":"Deniz Aygün, Pınar Önal, Ayşe Ayzıt Kılınç, Fatih Aygün, Rengin Şiraneci, Haluk Çokuğraş","doi":"10.5152/TurkArchPediatr.2024.24015","DOIUrl":"10.5152/TurkArchPediatr.2024.24015","url":null,"abstract":"The complete blood count (CBC) parameters and the ratios regarding these parameters have been demonstrated to be useful diagnostic biomarkers for many infectious diseases. Herein, we aimed to evaluate and compare the usefulness of the predictive role of the CBC in the differential diagnosis of pulmonary tuberculosis (TB) from community-acquired pneumonia (CAP) in children. We also compared serum electrolyte levels between the 2 diseases. In this retrospective study, we analyzed the efficacy of CBC parameters and neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), plateletto-lymphocyte ratio (PLR), neutrophil-to-monocyte-plus-lymphocyte ratio (NMLR), and serum electrolyte levels in the differential diagnosis of pulmonary TB from CAP in children. We also classified patients with TB into 2 groups according to the microbiologic confirmation. We investigated whether there is any difference regarding these parameters in patients with positive microbiologic results. A total of 163 patients diagnosed with TB and CAP were included in this study. The WBC, neutrophil and monocyte counts, NLR, MLR, NMLR, mean platelet volume (MPV), and C-reactive protein (CRP) values were higher in CAP. There was statistical significance among serum sodium and phosphorus (P) levels between the 2 groups. Microbiologic confirmation was determined in 37 (35.5%) patients with the diagnosis of TB. The NLR, MLR, NMLR, CRP, and P values were significantly higher in patients with microbiologic confirmation. The results of the present study suggest that complete blood count parameters, NLR, MLR, NMLR, and CRP can be useful and cost-effective markers in differentiating pulmonary TB from CAP in the early stages of diagnosis.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum. 勘误。

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-05-02 DOI: 10.5152/TurkArchPediatr.2024.25024

引用次数: 0

Protection of Child Health in Emergencies. 在紧急情况下保护儿童健康。

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-05-02 DOI: 10.5152/TurkArchPediatr.2024.23265

Övgü Büke, Nalan Karabayır

引用次数: 0

Utilization of Whole-Body Magnetic Resonance Imaging in Challenging Diagnoses in Pediatric Rheumatology. 在小儿风湿病学的疑难诊断中使用全身磁共振成像。

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-05-02 DOI: 10.5152/TurkArchPediatr.2024.23319

Eray Tunce, Kadir Ulu, Sevinç Taşar, Betül Sözeri

{"title":"Utilization of Whole-Body Magnetic Resonance Imaging in Challenging Diagnoses in Pediatric Rheumatology.","authors":"Eray Tunce, Kadir Ulu, Sevinç Taşar, Betül Sözeri","doi":"10.5152/TurkArchPediatr.2024.23319","DOIUrl":"10.5152/TurkArchPediatr.2024.23319","url":null,"abstract":"The aim of this study was to investigate the use of whole-body magnetic resonance imaging (WBMRI) in cases where we suspected rheumatic disease in our pediatric rheumatology clinic. We conducted a retrospective analysis of demographic, clinical, laboratory, and imaging data pertaining to pediatric patients who presented at our clinic and underwent WBMRI over the last 5 years. Our investigation targeted children experiencing diffuse musculoskeletal pain, where precise localization was challenging and suspicion of rheumatological pathology persisted despite inconclusive results from conventional diagnostic modalities. A total of 87 patients (33 female) underwent WBMRI at our clinic, with a median age (minimum-maximum) of 11.3 (0.5-18) years. Whole-body magnetic resonance imaging was performed in 4 patients suspected with dermatomyositis (DM) where muscle biopsy was not feasible, revealing muscle involvement and myositis. Additionally, WBMRI was utilized in 4 patients diagnosed with chronic nonbacterial osteomyelitis (CNO) to assess recurrence, identifying new active lesions in 3 patients. Among the remaining 79 patients, 34 received a new diagnosis of CNO. Clinically, supported by additional findings in laboratory and WBMRI, 18 were diagnosed with juvenile idiopathic arthritis (JIA), 5 with protracted febrile myalgia syndrome (PFMS), 5 with acute osteomyelitis, and 1 with viral myositis. The results were normal for 17 patients. Most of the WBMRIs conducted at the clinic under study were primarily performed on patients suspected of having CNO. Additionally, WBMRI was found to be supportive and beneficial in cases of suspected DM, PFMS, and JIA during the diagnosis.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0